08 Spirochetes

• green color shirt: lyme disease

• North east sign: Primarily Northeastern United States
• tick on sign: Transmitted by bite of tick living in wooded areas
• Robin of Ixodes: Ixodes Scapularis species of tick
• Tick is the vector
• small mouse: White-footed mouse main reservoir (host of tick larvae)
• large deer: White-tailed deer obligatory host (host of adult tick)

• Doesn't gram stain: walls too thin
• sir wright: Visualized by Wright's stain (lime green for lyme disease)
• sir giemsa: Visualized by Giemsa stain

stage 1:

• "Bull's eye" rash
• splitting arrow: Spirochete
• sweating sir wright: Flu-like symptoms

stage 2:

• heart shield: Heart block caused by Myocarditis
• bells on both side: Bilateral Bell's palsy

stage 3:

• arrow in head, confused giemsa: Encephalopathy (memory difficulty, cognitive slowing, meningitis)
• arrow in knee, swinging strawman: Migratory polyarthritis, large joints and may move from joint to joint

• bike wheel: Doxycycline treatment if caught in early stage
• axes: Ceftriaxone treatment if more severe or later presentation

Leptospirosis

• scene: endemic in tropical regions
• yellow tide: Leptospira found in water contaminated with animal urine

• spiral shape surface leash and question mark: Described as spiral shaped or question mark shaped

• Whale: Weil's disease.

• surfer dripping wet: Fever
• rose colored sunglasses, rubbing eye: Conjunctival suffusion. Redness of eye but no exudate/pus
• floating reds look like RBC all over place: Leptospira affects multiple different organs by hematogenous spread
• rubber red shaped like kidney: Leptospira can cause kidney dysfunction
• yellow surfer: Weil's disease can cause liver dysfunction and jaundice